Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
There could be the following possible diagnoses:
2) Infection in the spermatic cord
Both of them can present with similar symptoms. If CT scan
has not showed anything, then you should try getting a semen culture and sesitivity. Hernia is a predominantly a clinical diagnosis.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
Wish you good health,
Dr. Srikanth Reddy M.D.